Recurrent mucinous adenocarcinoma of the ovary presenting as an inguino-labial hernia

H. Ben-Hur*, M. Schachter, A. Mashiah, B. Lifschitz-Mercer, R. Pfeffermann

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

We report a case of a 65-year-old woman who nine years previously had undergone total abdominal hysterectomy and bilateral salpingoophorectomy for a large ovarian cyst. During surgery the cyst had ruptured and some mucinous material had been spilled intraabdominally. Histopathological studies demonstrated the cyst to be a mucinous adenocarcinoma of low malignant potential. Appendectomy had also been performed due to an enlarged appendix, which proved to be a mucocoele. The patient had been lost to subsequent follow-up. Her current presenting symptom was a giant inguino-labial hernia of 25 cm diameter with two small skin perforations leaking a gelatinous discharge. Subsequent laparotomy and inguinal exploration have disclosed herniated small intestine with an attached metastatic multicystic mucinous adenocarcinoma. This case represents a case of borderline mucinous adenocarcinoma - pseudomyxoma peritonei recurring in a unique pattern as a huge inguino-labial hernia, and serves to emphasize the possible consequences of spillage of ovarian cyst contents during surgery.

Original languageEnglish
Pages (from-to)299-302
Number of pages4
JournalEuropean Journal of Gynaecological Oncology
Volume17
Issue number4
StatePublished - 1996
Externally publishedYes

Keywords

  • Low malignancy potential tumors
  • Mucinous adenocarcinoma
  • Ovarian tumor
  • Pseudomyxoma peritonei

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